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Nanomechanical detection of antibiotic mucopeptidebindinginamodelfor superbugresistance JOSEPHWAFULANDIEYIRA1,2#,MOYUWATARI1#,ALEJANDRADONOSOBARRERA1,DEJIANZHOU3,4, MANUELVÖGTLI1,MATTHEWBATCHELOR3,MATTHEWA.COOPER5,TORSTENSTRUNZ1, MIKEA.HORTON1,CHRISABELL3,TREVORRAYMENT6,GABRIELAEPPLI1 ANDRACHELA.McKENDRY1*. 1. London Centre for Nanotechnology and Departments of and Physics, University College London, 17-19 Gordon Street, London WC1H 0AH, UK 2. Jomo Kenyatta University of Agriculture and Technology, Department of Chemistry, PO Box 62000, Nairobi, Kenya 3. Department of Chemistry, Lensfield Road, University of Cambridge, Cambridge CB2 1EW, UK 4. School of Chemistry and Astbury Centre for Structural Molecular Biology, University of Leeds, Leeds LS2 9JT, UK 5. Institute for Molecular Bioscience, The University of Queensland, Brisbane, 4072, Australia. 6. School of Chemistry, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK #These authors contributed equally * email: [email protected]

(Dated:12October2008)

The alarming growth of the antibiotic-resistant superbugs methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) is driving the development of new technologies to investigate antibiotics and their modes of action. We report the label-free detection of vancomycin binding to bacterial cell wall precursor analogues (mucopeptides) on cantilever arrays, with 10 nM sensitivity and at clinically relevant concentrations in blood serum. Differential measurements quantified binding constants for vancomycin-sensitive and vancomycin- resistant mucopeptide analogues. Moreover, by systematically modifying the mucopeptide density we gain new insights into the origin of surface stress. We propose that stress is a product of a local chemical binding factor and a geometrical factor describing the mechanical connectivity of regions affected by local binding in terms of a percolation process. Our findings place BioMEMS devices in a new class of percolative systems. The percolation concept will underpin the design of devices and coatings to significantly lower the drug detection limit and may also impact on our understanding of antibiotic drug action in bacteria. Whenbiochemicallyspecificinteractionsoccurbetweena that detects massrelated changes in the dielectric constant1013. immobilized on one side of a cantilever and a in Cantilevers are therefore unique as probes of small solution,thecantileverbendsduetoachangeinsurfacestress19. drug binding interactions and, by virtue of their miniaturized The general applicability of this novel nanomechanical dimensions they are amenable for parallelization14,15 for high biosensing transduction mechanism has been shown for throughputscreeningofthousandsofperhour. sequencespecific DNA hybridization15,8, single base Here we report the first quantitative differential mismatches1, DNA quadruplex5, recognition1,3,7,9 and nanomechanicalinvestigationofdrugtargetbindinginteractions recently the detection of interferon alpha induced I8U gene on multiple cantilever arrays focusing on the antibiotic expression in total human RNA, a potential marker for vancomycin (Figure 1). Today vancomycin is one of the last melanoma progression and viral infections8. However, to date, powerful antibiotics in the battle against resistant bacteria and multiple cantilever arrays have not been applied to quantify the‘hospitalsuperbug’MRSA1627.Itisavitaltherapeuticdrug drugtarget binding interactions, despite offering considerable used worldwide for the treatment of infections with Gram advantages. First, cantilevers require no reporter ‘tags’ or positive bacteria, particularly those Staphylococci and externalprobesandsobiomoleculescanbedetectedrapidlyina Enterococci responsible for postsurgical infections. single step reaction. Second, cantilever arrays can screen Vancomycin binds to the Cterminus of peptidoglycan multiple drugtarget interactions and reference coatings in mucopeptide precursors terminating in the sequence LysineD parallel and under identical experimental conditions. Third, we AlanineDAlanine1618,20,21 as shown in Figure 1. This havepreviouslyshownthatquantitativeligandreceptorbinding interaction blocks the action of bacterial transpeptidases and constantscanbemeasuredoncantileverarrays2.Moreover,the transglycosylases, which catalyse the crosslinking of the nanomechanical signal is not limited by mass, in contrast to growing bacterial cell wall, resulting in cell lysis1627. evanescenttechniquessuchassurfaceplasmonresonance(SPR) Unfortunately, due to the overuse of antibiotics,

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Figure 1 The nanomechanical detection of vancomycin-mucopeptide analogue interactions on multiple cantilever arrays. (a) Schematic diagram to show cantilevers coated with DAla (vancomycin sensitive), DLac (vancomycin resistant) or PEG (reference) alkanethiolSAMs.Vancomycinisinjectedinsolutionandbindsspecificallytothemucopeptideanaloguescausingthecantilevertobend downwardsduetoacompressivesurfacestress.(b)Thechemicalbindinginteractionbetweenvancomycinandthebacterialmucopeptide analogue, DAla. Itisknownfromsolutionphasestudiesthatthespecificityofthiscomplexarisesdueto(i)theinteractionoftheCterminal freecarboxylateofthepeptidewiththreeamidebondsinthevancomycinbackbone(ii)theformationoftwoC=OHNhydrogenbonds and (iii) hydrophobic interactions of the alanine methyl groups with aromatic residues of vancomycin. The dashed lines represent the 5 intermolecularhydrogenbonds.Theyellowdashedlinerepresentsthehydrogenbondassociatedwithbacterialresistance;(c)Thedeletionof asingleHbondinmutatedDLac mucopeptides givesrisetodrugresistance. Thebindingpocketofvancomycinisrepresentedschematically andthegreydottedlinerepresentsthedeletedhydrogenbondandelectrostaticrepulsionbetweentheoxygenlonepairsofelectrons. resistancetovancomycinisrapidlyincreasingandnowposes and functionalized with alkanethiol selfassembled amajorinternationalpublichealthproblem22, 24,26.Bacterial monolayers (SAMs) of (i) the drugsensitive mucopeptide resistanceinEnterococcicanariseduetothesubtlechangeof analogue HS(CH2)11(OCH2CH2)3O(CH2)(CO)NH(CH2)5(CO) anamidelinkagetoanesterlinkageinthegrowingbacterial LLys(εAc)DAlaDAla, herein termed DAla; (ii) the cellwall,resultinginthedeletionofasinglehydrogenbond mutated sequence which confers vancomycin resistance in from the binding pocket, rendering the antibiotic VanA and VanB resistant Enterococcal phenotypes, 1627 therapeutically ineffective (Figure 1). The development HS(CH2)11(OCH2CH2)3O(CH2)(CO)NH(CH2)5(CO)LLys of novel methods to detect and quantify the binding of (εAc)DAlaDLac,termedDLac.Ourpreviousstudies2,5,6,8 antibiotic–mucopeptide interactions is thus of significant have emphasized the importance of acquiring differential clinical importance. In addition the structure and binding measurementsusingareferencecantileverandhereweusea propertiesofvancomycinmucopeptidecomplexeshavebeen cantilever coated with an ‘inert’ SAM terminating in 1627 extensivelystudiedbothatsurfacesandinfreesolution triethylene glycol HS(CH2)11(OCH2CH2)3OH termed PEG, andthusserveasamodelsystemtoevaluatethecapabilities which is known to resist biomolecule adsorption on ofcantileversinsmallmoleculedrugtargetdetection. surfaces2830. The Supplemental Material describes the synthesisofDAla, DLacandPEG.Theabsolutedeflectionat DETECTIONOFVANCOMYCINMUCOPEPTIDEINTERACTIONS the freeend of each cantilever zabs was measured using a timemultiplexedopticaldetectionsystemindifferentbuffer To probe the inplane nanomechanics of antibiotic drug and blood serum environments under constant flow. The targetinteractions,multiplearraysofeightrectangularsilicon bendingsignalwassubsequentlyconvertedintoadifferential cantileverswerecoatedononesidewithathinfilmofgold surface stress between the upper and lower sides of the

2 Figure 2Investigating the specificty and sensitivity of antibiotic-mucopeptide interactions on cantilever arrays.(a)Absolutebending signal of DAla1 (red), DAla2 (orange), DLac1 (light blue), DLac2 (dark blue), DLac3 (dark green) and insitu reference cantilevers PEG1 (black)and PEG2 (grey) coated cantilevers to phosphate buffer, 250M vancomycin, and return to phosphate buffer. A negative signal correspondstoacompressivesurfacestressandthedownwardsbendingofthecantilever,asillustratedinFigure1a;(b)Thecorresponding differentialbendingsignalsofDAla1 (DAla1 minus PEG1,showninred) and DLac1 (DLac1 minus PEG1,showninblue);(c)Differential DAla signalsfor10,100,1000nMvancomycin.ThedifferentialPEGreferencesignalisshown(PEG2–PEG1black);(d)Differential signalsofthree DAla cantileversfor10nMvancomycin.ThedifferentialPEGreferencesignalisshown(black).

31 cantileverσabs,usingStoney’sequation The nanomechanical force exerted by vancomycin 2 peptide interactions was investigated on microfabricated 1  t  E cantilevers. Thedeflectionofanarrayofcantileverscoated σ abs =   zabs (1) 3  L  1−ν with DAla, DLac or insitu reference PEG SAMs, was monitored in parallel upon injection of different whereListheeffectivelengthofthecantileverupto500m,t concentrations of vancomycin in sodium phosphate buffer isthethickness~0.9 m, and E 1( −ν ) = 180 GPa is the (pH 7.4, 0.1 M). Typical absolute bending signals for one ratiobetweentheYoung’smodulusEandPoissonratioν of arraycomprisingtwoDAla,threeDLacandtwoPEGcoated Si(100)32.Weusedahomebuiltgravityflowsystemtocontrol cantilevers are shown in Figure 2a. In buffer, we observed theexchangeofuptosixdifferentvancomycinsolutions(10nM thatallcantileversshowedastablebaseline.Uponinjection – 1 mM), 100 mM sodium phosphate buffer and 10 mM HCl of 250 M vancomycin, both DAla1 and DAla2 coated regeneration solutions, via an automated valve (Supplemental cantileverrapidlybentdownwards(illustratedinFigure1a), Material). reaching a stable equilibrium absolute compressive bending The aim of our investigations was to ascertain whether signal of 180 nm and 172 nm respectively after 30 mins cantilever arrays have the sensitivity to quantify vancomycin– under constant flow conditions. Conversely the DLac DAla binding interactions and detect the deletion of a single cantilevers showed a small absolute downwards bending hydrogen bond associated with antibiotic resistance to the mutated peptide analogue, DLac. Moreover, we examined the signalof38,31and31nmforDLac1,DLac2andDLac3, sensitivity of antibiotic detection in blood serum at clinically respectively. The two reference PEG coated cantilevers, relevantconcentrations33of540g/ml,whichcorrespondsto3 PEG1andPEG2 showedasmalldownwardsbendingsignal 27 M. In addition, we sought to alter the surface peptide of 14 nm and 13 nm. Upon injection of the buffer, the density in order to optimize drug detection sensitivity and to signals were observed to converge back towards the stable investigate the underlying mechanotransduction mechanism. ‘zerostress’baseline.Thisstepwasthenfollowedby10mM Nanomechanical biosensors can best be exploited only if we HCl, which is known to dissociate vancomycinpeptide develop a fundamental understanding of what causes the complexes and regenerate the free peptides for further 13 cantilevertobendandthisknowledgewillaidthedevelopment antibioticstudies. of new devices with significantly improved drug detection It is known that the absolute bending signals are a sensitivity. convolutionofbiologically specific bindingeventsandnon-

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Figure 3Nanomechanical detection of antibiotics in blood serum at clinically relevant concentrations.Differentialbendingsignalof DAla1 (red) and DLac1 (blue)uponinjectionof7Mvancomycinin 90%fetalcalfserumand10%sodiumphosphatebufferatpH7.4. specific influences, including reactions occurring on the undersideofthecantilever,liquidinjectionspikes,changesin refractive index and temperature1,2,58. These nonspecific effectswillaffectDAla, DLacandPEGsignalstothesame extent, and are therefore removed by taking a differential measurement using a reference cantilever with an inert coating.2,58Thedifferentialmeasurements,showninFigure 2b revealed the surface forces induced by biochemically specificvancomycinpeptideinteractions.Uponinjectionof 250Mvancomycin,thedifferentialsurfacestresssignalfor DAla1 (DAla1 PEG1) and DLac1 (DLac1 PEG1) were Figure 4Nanomechanical drug-target percolation on cantilever foundtobe35.3mN/mand5.1mN/mrespectively. arrays. (a) A three dimensional graph showing the measured To examine the reproducibility of the nanomechanical differentialsurfacestressresponseforDAla (redcircles)andDLac signals,weperformedmorethan100measurementsonfour (black circles) coated cantilevers as a function of vancomycin different cantilever arrays, each composed of eight concentration in solution [Van] and DAla surface coverage p, cantilevers. The raw bending signals were analyzed using superimposedwiththeresultsoftheglobalfitaccordingtoEquation 2;(b)Leastsquaresanalysistodeterminethebestvaluesforp and automated data software developed in our group to rapidly c α.. Plot shows the chi squared values (blue) and α (red) for each examine large data sets and remove bias6. The average valueofpc.Theblack,blue,andredarrowsindicatethechisquared nanomechanicalsurfacestresssignalfor250Mvancomycin minimum, pc, and α values at the chisquared minimum, ononearraywas34.6±0.9mN/mforDAlaand4.2±0.5 respectively. mN/m forDLac.Themeansignalsacrossfourarrayswas 34.2±5.9mN/mforDAlaand3.8±1.5mN/mforDLac. Thehighreproducibilityofwithin-arraymeasurements,and an increased variance associated with between-array measurements,agreeswithourpreviousfindings6. defined as the DAla surface coverage fraction on the The dynamic range and sensitivity was investigated by cantilever determined by Xray photoelectron spectroscopy varyingthevancomycinconcentrationinsolution[Van].The (XPS)asdescribedintheSupplementalMaterials)toaseries differentialDAlabendingsignalscaledwithincreasing[Van] of[Van].Figure4showsallofthestressdataasafunctionof ~ 10, 100 and 1000 nM, giving equilibrium differential p and[Van]forbothDAlaandDLac.Thenanomechanical signalsof8,29and114nmrespectively(Figure2c).The signal was much larger for DAla than DLac, and steeply lowest[Van]tobedetectedwas10nMgivingrisetoaDAla increased as a function of [Van] followed by saturation, differentialbendingsignalof9±2nmonthreecantilevers whereasitincreasedmoregraduallyasafunctionofp.For (Figure2d). fixedp =1,wherethecantileveriscoatedwithonlyDAla, Thecapacityofcantilevertodetectantibioticsinserum the nanomechanical response saturates for [Van] > 50 M was investigated in the clinically relevant concentration whenmostaccessiblevancomycinbindingsitesareoccupied, range33of327M.Figure3showsthedifferentialsignalfor consistentwithbindingequilibrium.Thiseffectisameasure DAla and DLac coated cantilevers upon injection of 7 M ofthespecificchemicalinteractionsbetweenthevancomycin vancomycin in serum (90 % fetal calf serum plus 10 % and the peptide. On the other hand, for fixed [Van], upon sodiumphosphatebufferpH7.4).Thedifferentialsignalfor increasing DAla from p = 0 to p = 0.1 no detectable nanomechanicalsignalwasmeasured,whereasfromp =0.1 DAlainserumwas 105±4nmandnosignificantbending wasdetectedforDLac. top =1.0thereisanapproximatelylinearincrease.Whatthis meansisthatthestresstransductionisactuallya collective DRUGTARGETNANOMECHANICALPERCOLATION phenomenon, requiring a relatively large fraction of the surfacetobecoveredsoastoestablishconnectivitybetween We monitored the nanomechanical response of cantilevers chemicallytransformedregionsofthesurface.Assumingthat withsystematicallyvariedpeptidedensitiesp(wherepisthelocalchemistryandgeometriceffectsresponsibleforthe

4 Table 1 Equilibrium Kd and saturation stress CONCLUSIONS signals a of vancomycin-mucopeptide interactions on cantilever arrays compared with SPR and solution-phase UV spectroscopy Our experiments show that cantilever arrays have the measurements from the literature. sensitivity to detect and quantify the binding affinity of the Mucopeptide a Kdcantilever KdSPR Kd solution (mN/m) (M) (M) (M) antibioticvancomycintodrugtargetmucopeptideanalogues: DAla 29.7±1.0 1.0±0.3 1.1±0.1 0.7±0.1 LysineDAlanineDAlanine and LysineDAlanineDLac. (ref.13) (ref.21) The former occurs in the peptidoglycan precursors found in DLac 14.1±3.0 800±310 526±139 660 vancomycin sensitive bacteria and the latter in those (ref.13) (ref.25) precursorsinVanAandVanBvancomycinresistantbacteria16 Thevaluesstatedaremean±standarderrorformorethan100cantilevermeasurements. 27 Literaturedataalsoquotedintheseunits.Noerroranalysisisgiveninref.11. .Differentialmeasurementscouldsuccessfullydiscriminate betweenthetwopeptidesequences,detectingthedeletionofa singlehydrogenbondfromthedrugbindingpocket,whichis collective buildup of strain are separable, we can write a associatedwithdrugresistance.Thisgaverisetoan800fold generalproductformforthecantileverresponse, increaseinKdofDLaccomparedtoDAla,inagreementwith 1113 α measurementsmadebySPR . a ⋅[Van]  p-p  σ =  c  forp>p .(2) We find that the minimum detectable vancomycin eq   , c Kd +[Van]  1-pc  concentration was 10 nM and comparable to SPR studies, and zero otherwise. The first term is the Langmuir whichhavereportedthedetectionof30nMvancomycin1113. Adsorption Isotherm, accounting for drugtarget binding Furthermore,weshowthatcantileverscandetectandquantify eventsandthesecondtermisthepowerlawformdescribing vancomycin in blood serum at clinically relevant thelargescalemechanicalconsequencesofstressednetwork concentrations, which is important for pharmacokinetic formation.Theconstantacorrespondstomaximumsurface /dynamic drug profiling, personalized medicine and forensic stresswhenalltheaccessiblebindingsitesareoccupiedand applications. Kd is the surface equilibrium dissociation constant on the The molecular binding events occurring between cantilever. The buildup of surface stress follows from the vancomycin in solution and DAla were found to generate a connectivityofthechemicallytransformednetworkaswell repulsive compressive surface stress. The origin of the as the interactions between nodes of the network34. The biochemically induced surface stress is the subject of much 19 exponent of the power law αisassociatedwiththeelastic scientificdebateandinterest .Ourexperimentsrevealafinite interactions between chemically reacted regions on the percolationthresholdpc=0.075belowwhichthemacroscopic cantilever. For short range interactions, such as steric bendingiseffectivelyzero.Thismeansthatacriticalnumber neighbourneighbour repulsive interactions there will be a ofDAlaandvancomycinbindingeventsarerequiredtoyield finitepercolationthresholdpcbeyondwhichtherewillbea observable stress and demonstrates a local short range connectednetworkwhichcanproduceanapparentbending transduction mechanism. For p > pc, the nanomechanical of the cantilever. On the other hand, for long range signalincreaseswheretheexponentinthepowerlawαis1.3 interactionssuchasideallyelasticinteractions,pc=0. andsoisapproximatelylinearlyproportionaltothenumberof We have carried out a series of leastsquares fits of DAla on the cantilever. Figure 5 shows the Equation2toourdatatofindthekeyparametersaswellas operation of this mechanism, which begins with the steric toascertainthevalidityoftheproductform.Theparameters forcesgeneratedbyinsertionofthevancomycinintotheDAla pc and α, which characterize the collective behavior are SAM.Theresultingcomplexeswillinducealocalstraininthe coupledinastatisticalsense.Therefore,todetermine what silicon as well as carry an electrostatic charge, which in the theirbestvaluesmightbe,wehavechosennottorelyonthe neutralpHconditionsofthisstudyis+1forvancomycin.As multiparameter fitting routine but instead have examined thenumberofsuchregionsgrowstheywillinteracttoproduce directly how the fit changes as a function of pc, looking at bendingoftheentirecantilever. boththeresultingvaluesofαandsquareddeviationbetween The proposed percolative mechanisms of antibiotic the data and the fit. Figure 4b shows the outcome, which mucopeptide triggered changes in surface stress differ revealsapercolationthresholdp =0.075,andaconcomitant significantlyfrompreviousstudiesoftheYoung’smodulusof c 35,36 preference for a power α close to 1.3. We were able to macroscopictwodimensionalmodelrandomelasticmedia . ascertain the validity of the product form, Equation 2, by Hereweestablishnanomechanicalcantileverbiosensorsasthe comparingthe globalfitvaluesfor K and a, or α and p , hosts for new universality classes of percolating systems, d c where the elasticity resides in the coupled multilayered, withthevaluesobtainedfromsubsetsofthedataatconstant 37 p orconstant[Van].TheanalysisshownintheSupplemental multiscale system Material shows that the values do not vary outside the buffer/Van/DAla/PEG/gold/chromium/silicon. Our findings experimentalerrorlimits,andthattherefore,withintheerrors suggest that the structure and mechanics of the underlying of our present experiments, local drugtarget chemical DAla/PEGSAMsplaya majorroleinmechanotransduction. Future work will investigate the extent of mixed monolayer interaction effects decouple from the collective elastic 38,39 phenomenon ultimately responsible for the bending of the phase separation on cantilevers and the decoupling of entirecantilever.Havingestablishedthis,wecanfindK ,a, chemical and geometric factors (manuscript in preparation d MW,RAM&GA). Thesefindingswillaidrationaldesignof α,andpcusingallavailabledata.Theoutcomeoftheglobal fit is superimposed onto the measured differential stress novel devices and surface chemistries for improving the sensitivity of cantilevers to chemical binding events such as signalsinFigure4a.Table1showsasummaryofaandKd forbothDAlaandDLacpeptidesandmakesthecomparison thoseinourcurrentdrugtestingapplication.Interestinglywe with reported values from solution phase UV showthatthemaximumstresssignalisobtainedathighDAla spectroscopy20,21andSPRmeasurements1113. packing densities, conditions that are traditionally considered

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Figure 5 Conceptsunderpinningnanomechanicalantibiotictransduction.(a)Aschematictoshowtheconceptofpercolationonacantilever array;(b)Aschematictoillustratenanomechanicaldrugtargetpercolationonabacterialmembraneandcellwall. 12. Rao, J. Yan, L. Xu, B. Whitesides, G.M. Using surface plasmon resonance to study the tobeunfavorableforothersurfacesensingtechniquessuch bindingofvancomycinanditsdimertoselfassembledmonolayerspresentingDAlaDAla. 12,13 11 asSPR (Forp=1.0weestimate10 DAlapercantilever, J. Am. Chem. Soc. 121,26292630(1999). 2 13. Cooper, M.A. Fiorini, M.T. Abell, C. & Williams, D.H. Binding of vancomycin group with a single footprint of 44 Å , as described in the XPS antibioticstoDalanineandDlactatepresenting selfassembled monolayers. Bioorg. Med. Chem.8,26092616(2000). measurementsdetailedintheSupplementalMaterial).Thus, 14. Vettiger,P.etal.Ultrahighdensity,highdatarateNEMSbasedAFMdatastoragesystem. beyondourkeyresultthatcantileversareaveryusefultoolin Microelec. 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6 Supplemental Material

‘Nanomechanical detection of antibiotic-mucopeptide binding in a model for superbug ’ J. W. Ndieyira, M. Watari, A. Donoso Barrera, D. Zhou, M. Vögtli, M. Batchelor, M. A. Cooper, T. Strunz, M. A. Horton, C. Abell, T. Rayment, G. Aeppli and R. A. Mckendry*.

* email: [email protected] Synthesis of thiolated peptides

ThepeptidesDAlaandDLac weresynthesizedbysolidphasemethodologyusingcommercially available preloaded WangDAla and WangDLac resins and standard Fmocprotecting group chemistry.S1 The cleaved products were further purified by reverse phase HPLC by varying the mobilephasefrom5%to95%ofacetonitrileinwater(with0.5%trifluoroaceticacid).Thepeptides werecharacterizedbyNMRandHRMS(+ESI,QTOF)asfollows; i)DAlaOH(HS(CH2)11(EG)3OCH2AhxLLysDAlaDAlaOH 1 HNMR(δppm,400mHz,CD3OD):1.251.80(m,36H,[15CH2+2CH3]),1.91(s,3H,CH3), 2.24(t,2H,CH2),2.47(t,2H,J=7.1Hz,CH2SH),3.14(t,2H,J=7.0Hz,NHCH2),3.22(t,J=7.0 Hz,2H,NHCH2),3.44(t,2H,J=6.7Hz,CH2(OEG)),3.543.69(m,12H,3(EG)),3.96(s,2H, OCH2C=O),4.21(t,1H,J=7.1Hz,LlysαCH),4.314.42(m,2H,2[DAlaαCH]). 13 CNMR(δppm,125mHz,CDCl3):176.24,175.58,174.46,174.29,173.21,172.61(6C=O), 72.39,71.95,71.55,71.52,71.37,71.22,71.16(PEG),55.15,50.00,40.17,39.83,36.50,35.22, 32.27,30.72,30.70,30.64,30.56,30.27,30.21,29.40,27.57,27.21,26.46,24.97,24.23,22.57, 18.01,17.50. + HRMS(+ESI,QTOF),found842.4941;requiredforC39H73N5O11SNa[M+Na] ,842.4925,dev. 1.86ppm. ii)DLacOH(HS(CH2)11(EG)3OCH2AhxLLysDAlaDLacOH 1 HNMR(δppm,500MHz,CD3OD):1.251.80(m,36H,[15CH2+2CH3]),1.92(s,3H,CH3), 2.24(t,2H,J=7.0Hz,CH2),2.47(t,2H,J=7.0Hz,CH2SH),3.133.17(m,2H,NHCH2),3.18 3.24(m,2H,NHCH2),3.46(t,2H,J=6.7Hz,CH2(OEG)),3.553.68(m,12H,3(EG)),3.96(s, 2H,OCH2C=O),4.304.40(m,1H,LlysαCH),4.404.50(m,1H,DAlaαCH]).5.005.10(m, 1H,DLacαCH). 13 CNMR(δppm,125MHz,CD3OD):175.99,174.12,173.34,173.20,172.84,172.60(6C=O), 79.47,72.40,71.99,71.58,71.55,71.39,71.24,71.19(PEG),54.37,53.68,40.19,39.82,36.73, 36.63,35.23,32.84,32.22,30.74,30.71,30.64,30.57,30.26,30.21,30.00,29.85,29.41,27.58, 27.52,27.22,26.62,26.56,24.98,24.17,22.60(CH3),17.51(CH3),17.44(CH3). + HRMS(+ESI,QTOF),found843.4761;requiredforC39H73N5O11SNa[M+Na] ,843.4765,dev. – 0.53ppm. iii)Thesynthesisofthe11mercaptoundecyltri(ethyleneglycol)alcohol(PEG)hasbeen described.S2Thecrudecompoundwaspurifiedusingflashcolumnchromatographyonsilica(10% ethanolinethylacetate)toyieldthefinalproduct(PEG)asacolourlessoil.1HNMR(250MHz, CDCl3,δppm):1.201.37(m,14H,7CH2),1.491.60(m,4H,2CH2),2.46(q,2H,J=7.0Hz, HSCH2),3.05(s,br,1H,OH),3.40(t,2H,J=7.0Hz,CH2PEG),3.503.75(m,12H, 13 3(OCH2CH2). CNMR(62.5MHz,CDCl3,δppm):72.5,71.4,70.5,70.3,69.9,61.5,34.0,33.7,

7 30.5,29.5,29.4,29.0,28.8,28.7,28.3,26.0,24.5.HRMS(QTOF,ES+),found359.2222;required + forC17H36O4SNa[M+Na] ,359.2232. Preparation of cantilevers Cantileverarrayswerefabricatedby IBMResearchLaboratory,Rüschlikon,Switzerland,and purchasedfromVeecoInstrumentsInc.(SantaBarbara,CA,U.S.A.).EachSi(100)cantileverwas nominally500mlong,100mwide,and0.9mthick.Cantileverarrayswerefirstcleanedwith freshlypreparedpiranhasolution(atratio1:1H2SO4andH2O2)for20mins.Piranhasolutionhadto behandledwithcareasitishazardousandcancauseexplosionsorsevereskinburns.Arrayswere thenthoroughlyrinsedindeionizedwaterbeforebeingimmersedinthesecondfreshlyprepared piranhasolutionforanother20mins,andagainrinsedthoroughlywithdeionizedwater.Finally,the arrayswererinsedwithpureethanolanddriedonahotplateat75°C.Theyweretheninspected using the optical microscope to confirm their cleanliness before transferring to the evaporation chamber(BOCEdwardsAuto500,U.K.)forovernightpumping.Onesideofeachcantileverarray wascoatedbythermalevaporationwitha2nmCradhesionlayerfollowedby20nmofgoldfroma basepressure~2×107mbar,andusingevaporationratesof0.02nm/sforCrandAu,asmeasured directlyabovethesourcebyaquartzcrystalmonitor.Oncetherequiredthicknesswasattained,the samples were left in the chamber for 12 h to cool under vacuum before opening. The freshly evaporatedcantileversweresealedinavacuumstoragevessel(AgarScientific,U.K.)filledwith argonandfunctionalizedwithinafewhoursaftertheevaporation.Thecantileverswereincubated inanarrayofeightglassmicrocapillariesfilledinarandomorderwith2mMethanolicsolutionsof DAla, DLac or PEG for 20 mins, and then rinsed in pure ethanol and deionized water. The cantilevers were stored under distilled water immediately after functionalisation until use. Cantileverswereusedimmediatelybutwhereitwasnotpossibletouseallofthemwithinaday, then they were kept in the Petri dishes with deionised water as we have previously found that functionalised arrays could be stored under deionised water for 2 weeks without degrading as opposedtobeingstoredinair.

Preparation of solutions Buffersolutionswerepreparedbymixing0.1 Mmonoanddibasicsodiumphosphatesalts (SigmaAldrich, U.K.) dissolved in ultrapure water (18.2 Mcm resistivity, Millipore Co., Billerica,MA,U.S.A.)toyieldapHvalueof7.4.Freshbufferwasusedtopreparethesolutionsof vancomycin(SigmaAldrich,U.K).Thesolutionswerefilteredusing0.2mfilters(Millipore)and ultrasonicatedfor30minsatroomtemperaturebeforebeingpurgedwithargon.Toinvestigatethe detection sensitivity of cantilevers to antibiotics in serum, vancomycin solutions were prepared using90%fetalcalfserum(Gibco,USA)with10%sodiumphosphatebuffer. Instrumentation Theabsolutebendingofalleightcantileverswasmonitoredusingtheserialtimemultiplexed opticalbeammethodwithasinglepositionsensitive detector (Scentris, Veeco Instruments Inc.). The functionalized cantilever array was mounted in a sealed liquid chamber with a volume of approximately 80 l.Theliquidcellandeachaliquotofaqueoussolutionswereplacedintothe temperaturecontrolledcabinetovernighttoallowfortemperatureequilibrationbeforeundertaking

8 eachexperiment.Alignmentofeachlaserspotontothefreeendofeachcantileveronthearraywas confirmedusing1°Ctemperatureheatingtest.Thepurposeoftheheatingtestwastoensurethat theeffectivelengthofalleightcantileverswassimilar.Thiswaswitnessedbydownwardbending, duetothebimetalliceffect.Therelativestandarddeviationoftheabsolutebendingsignalsofall eightcantileverswas≤5%.Hereinanegativedeflectionsignaldenotesacompressivesurfacestress andapositivesignalistensile.Theefficientexchangeofliquidsintheliquidcellwasachievedwith ahomebuiltgravityflowmicrofluidicssystem.Thedesiredflowratewasfirstdeterminedbefore each experiment to ensure a constant flow rate for all the arrays. The data acquisition was automated using LabView (National Instruments Co., Austin, TX, U.S.A.) software via a 6way valve (Serial MVP, Hamilton, Reno, NV, U.S.A.). The measurement protocol involved the following:i)sodiumphosphatebuffersolution(pH7.4,0.1M)for30minstoestablishabaseline; ii)injectionofvancomycininsodiumphosphatebufferfor30mins;iii)todissociatethecomplex wetheninjectedsodiumphosphatebuffer(pH7.4,0.1M)washfor30mins;iv)afurtherwashing stepusing10mMHClforanother30minstoremovethevancomycinandregeneratethepeptide surface;v)finallyanothersodiumphosphatebuffersteptorestorethebaselinesignal.Thisprocess was repeated for all the vancomycin concentrations.Allsignals were acquiredunderaconstant liquidflowrateof180±30l/min.

Validity of the product form of Equation 2 Leastsquarefitswereappliedtosubsetsofthedata,intheformofconstantporconstant[Van] cutsthroughthedata,anddeterminingwhetherKdandaorpcandαvaryoutsidetheexperimental error limits with [Van] and p, respectively. The results are summarized in Table S1. The fitted parametersa=(29.7±1.0)mN/m,Kd=(1.0±0.3)M,pc=(0.08±0.09),andα=(1.3±0.3) giveninthefirstrowwereobtainedbyincludingallavailabledata;thefittedparametersa=(29.5± 2.0)mN/mandKd=(0.8±0.5)Matfixedpc=0.08andα=1.3giveninthesecondrowwere obtainedbyincludingp=1.0dataonly;thefittedparameterspc=(0.00±0.40)andα=(1.9±1.3) atfixeda=29.7mN/mandKd=1.0Mgiveninthethirdrowwereobtainedbyincluding[Van]= 10Mdataonly;thefittedparameterspc=(0.09±0.17)andα=(1.2±0.5)atfixeda=29.7 mN/mandKd=1.0Mgiveninthefourthrowwereobtainedbyincluding[Van]=100Mdata only;thefittedparameterspc=(0.17±0.07)andα=(0.8±0.3)atfixeda=29.7mN/mandKd= 1.0Mgiveninthefifthrowwereobtainedbyincluding[Van]=250Mdataonly.Theseresults showthatthefittedparametersa,Kd,andαobtainedfromtheglobalfitandthefittedparameters obtained from the fit of data subsets were consistent, and that therefore, to within experimental error,localchemicalinteractioneffectsdecouplefromthecollectiveelasticphenomenonultimately responsibleforthebendingoftheentirecantilever. Table S1:LeastsquarefitsofdatasubsetstovalidatetheproductformofEquation2. p [[[Van]]]]((((M) a (mN/m) Kd (M) pc ααα all(a) all(b) 29.7±1.0 1.0±0.3 0.08±0.09 1.3±0.3 1.0 All 29.5±2.0 0.8±0.5 0.08 1.3 all 10 29.7 1.0 0.00±0.40 1.9±1.3 all 100 29.7 1.0 0.09±0.17 1.2±0.5 all 250 29.7 1.0 0.17±0.07 0.8±0.3

(a) Including all values of p investigated herein, i.e. 0.05, 0.1, 0.3, 0.5, 0.7, 0.9, and 1.0. (b) Including all values of [Van] investigated herein, i.e. 0.1, 1, 10, 50, 100, 250, 500,750, 1000 M

9 X-ray photoelectron spectroscopy

TherelationbetweenthesolutionmolarfractionandsurfacecoverageofDAlawasmeasuredon the resultant SAMs by Xray photoelectron spectroscopy. Given the miniaturised geometry of cantilevers,characterisationoftheSAMswasperformedonsiliconwafersinstead,whichhadbeen functionalizedinparallelwiththesiliconcantilevers.ThedatawerecapturedusingKratosVISION II software(version2.2.6)on a Kratos Axis Ultra spectrometerequippedwithaluminumAlKα sourceand1486.6eVlineenergy.TheXrayspotsizewas1mm²andtheanalysisareawasdefined bytheSLOTapertureof300×700m²withahybrid(magnetic/electrostatic)opticsandamulti channelplateanddelaylinedetector(DLD)withacollectionangleof30oandatakeoffangleof 90o.Thepressureinthechamberwas3x109Torr.Preliminarywidescansweretakenoverthefull rangeof1400to0eV,withstepsizeof1eVandpassenergyof80eVtoimprovesignaltonoise ratioonthepeaksofinterestandthenreduceddownto700to0eVforthemainanalysisofthehigh resolutionscansonN(1s),S(2p),Au(4f),andC(1s)spectraacquiredwitha20eVpassenergy usingscanstepsizeof0.1eV.Theaveragingwasundertakenoverthreespectrainthreeseparate areasoneachsample. FigureS1showstypicalrawhighresolutionphotoemissionspectraofN(1s),S(2p),andAu (4f)acquiredonaSAMpreparedfromtheethanolicsolutionataDAlatoPEGratioof0.50:0.50 superimposedtofittedcurves.Thepeakfittingoftherawspectrawascarriedoutusingcommercial software (CasaXPS, 2.3.2) by using the same line shape and full width half maximum on each sample, with a linear background subtraction. Errors in the fitted area under the photoemission peakswerecalculatedasthestandarderrorofthemeanofthedifferencebetweentherawandfitted data.

Figure S1:Typicalrawhighresolutionphotoemissionspectraof(a)N(1s),(b)S(2p),and(c)Au(4f)acquiredona SAMpreparedfromtheethanolicsolutionataDAlatoPEGratioof0.50:0.50,superimposedtofittedcurvesingrey.

Langmuir adsorption models ThecompetitiveadsorptionofDAlaandPEGthiolsontogoldcanbedescribedbythechemical reaction [DAla]solution+[PEG]surface↔[DAla]surface+[PEG]solution,EquationS1 where[DAla]solutionand[PEG]solutionisthesolutionconcentrationand[DAla]surfaceand[PEG]surface is the surface concentration of DAla and PEG, respectively. The equilibrium of this reaction is characterisedbytheequilibriumconstant [DAla]surface [PEG]solution K eq = .EquationS2 [][]DAla solution PEG surface

10 In the cantilever experiments presented herein, we varied the ratio of DAla and PEG thiol solutionsatafixedtotalsolutionconcentrationofthiols [thiol]solution = [DAla]solution + [PEG]solution of 2 mM (dissolved in ethanol). Therefore the solution molar fraction of DAla and PEG totals to solution solution χ DAla + χ PEG = 1.0. Similarly, the total surface concentration of the thiols is [thiol]surface = [DAla]surface + [PEG]surface and the surface coverage of the thiols is surface surface surface surface χ thiol = χ DAla + χ PEG .Thetotalsurfacecoverageofthethiolsisdefinedasχ thiol = 0.1 ifthe surface surfacecoverageofDAlaandPEGaredescribedrelativetooneanother,whereas χ thiol depends surface surface on χ DAla and χ PEG ifthesurfacecoverageofDAlaandPEGarerelatedtothetotaladsorption sitesonthegoldsurface,whichisduetodifferencesinthemolecularvolume(hencestericeffects) betweenDAlaandPEGthiolmolecules. To describe the surface coverage of DAla as a function of its solution molar fraction, the binding constant of DAla KDAla is formulated by means of Equation S2 and the relations solution solution surface surface χ DAla + χ PEG = 1.0andχ thiol = 0.1 ,whichisthensolvedfor χDAla togive solution surface solution K DAla χ DAla χ DAla ()χ DAla , K DAla = solution .EquationS3 1+ χ DAla ()K DAla −1 surface surface surface surface surface Thetotalsurfacecoverageofthiols χ thiol (χ DAla , χ PEG ) = χ DAla + χ PEG canthenbederived bycombiningEquationS3withEquationS2andsolvingtheexpressionforthebindingconstantof surface thiols K thiol for χ PEG ,whichreads solution surface solution K DAla (1− χ DAla ) χ PEG ()χ DAla , K DAla , K thiol = solution EquationS4 K thiol ()1+ χ DAla ()K DAla −1 andsothetotalsurfacecoverageofthiolscorrespondstothesumofEquationsS3andS4.

Analysis of DAlaand thiol surface coverage

surface ThesurfacecoverageofDAlapeptides χDAla canbedirectlycorrelatedwiththeintensitiesof N (1s) photoelectrons, since nitrogen is present in the molecular sequence specific to the DAla surface peptideonly.Thesurfacecoverageofthiols χ thiol wasmeasuredastheratiooftheintensitiesofS (2p)andAu(4f)photoelectrons,whichhavethesameescapedepthandarethusattenuatedtothe sameextentbytheorganicoverlayer. FigureS2showsthemeasuredN(1s)intensitiesandthe ratios of the intensities of S (2p) and Au (4f), both normalised to the 100% DAlaSAM,asa functionofDAlasolutionmolarfractionandsuperimposedtothefitofLangmuirmodelEquation S2andthesumofEquationS2andS3,respectively. As can be seen in the figure, the relation betweenthemeasuredsurfacecoverageandtheDAlasolutionmolarfractionwaswelldescribedby the Langmuir models. The fitted binding constants, K DAla = .0 25 for the adsorption of DAla peptides andK thiol = .0 15 for the adsorption of thiols suggest that the DAla peptides adsorbed slower and had a lower packing density compared to PEG molecules. For example, the thiol coverageofthe100%DAlaSAMexhibiteda39%lowervaluecomparedtothe100%PEGSAM. ThisresultisratherintuitivebecauseofthelargermolecularvolumeoccupiedbytheDAlapeptides as well as the increased molecular length, both giving rise to greater steric effects and diffusion lengthcomparedtomorecompactPEGmolecules.

11 Figure S2:NormalisedN(1s)intensitiesandtheratiosoftheintensitiesofS(2p)andAu(4f),asafunctionofDAla solutionmolarfractionandsuperimposedtothefitofLangmuirmodel. The analysis of the surface coverage allows us to evaluate the cantilever measurements performedatdifferentDAlapeptidedensitiesandvancomycinsolutionconcentrations.FigureS3 shows the differential stress as a function of (a) the DAla surface coverage superimposed to the percolation model (i.e. geometrical term in Equation 2) and (b) the solution vancomycin concentrationsuperimposedtotheLangmuirmodel(i.e.chemicalterminEquation2).Thethree dimensionalrepresentationofthesedataispresentedinFigure4ofthemanuscript.

Figure S3: Measured differential surface stress response for DAla and DLac coated cantilevers as a function of (a) DAla surfacecoverageand(b)vancomycinconcentrationinsolution[Van]superimposedwiththeresultsoftheglobal fitaccordingtoEquation2(solidlines). Furthermore,ourXrayphotoelectronspectroscopydatacangiveanestimateofthesurfacearea occupiedbyoneDAlapeptidemolecule,byreferringtotheliteraturevalueof27Å2perthiolate reportedforPEGSAMs.S3Thistranslatesintoamolecularareaof44.2Å2inthe100%DAlaSAM oranearestneighbourdistanceof7.1Åbyassuminganidealhexagonalpacking.

References (S1) Cho Y. R., Entress R. M. & Williams, D. H. Synthesis of cellwall analogues of vancomycinresistantenterococciusingsolidphasepeptidesynthesis. Tetrahedron Lett., 38, 52295232(1997). (S2) ZhouD.,YingL.,HongX.,HallE.A,AbellC.&Klenerman,D.A.Compactfunctional quantum dotDNA conjugate: preparation, hybridization, and specific labelfree DNA detection.Langmuir, 24,16591664(2008). (S3) Schwendel D., Hayashi T., Dahint R., Pertsin A., Grunze M., Steitz R. & Schreiber F. Interactionofwaterwithselfassembledmonolayers:neutronreflectivitymeasurementsof thewaterdensityintheinterfaceregion.Langmuir,19,22842293(2003).

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